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PROGRAM R ewards PREVENTION

Prevention Rewards FINAL merged 1.3.19(between July 1, 2019 and September 1, 2020) from a participating Dominion network dentist receives a $20 reward after completing a brief survey

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Page 1: Prevention Rewards FINAL merged 1.3.19(between July 1, 2019 and September 1, 2020) from a participating Dominion network dentist receives a $20 reward after completing a brief survey

PROGRAMRewards PREVENTION

Page 2: Prevention Rewards FINAL merged 1.3.19(between July 1, 2019 and September 1, 2020) from a participating Dominion network dentist receives a $20 reward after completing a brief survey

For example: A family of four each receives two cleanings within the specified timeframe. The primary subscriber completes and submits the Member

Satisfaction Survey as outlined above. The primary subscriber receives a check for $80 for the family!

Each family member who receives two cleanings during the plan year (between July 1, 2019 and September 1, 2020) from a participating Dominion network dentist

receives a $20 reward after completing a brief survey.

Encourages wellness Helps prevent future costly restorative work

Lowers your out-of-pocket cost

Prevention Rewards Program

It’s Simple to Get Credit for Your Cleanings!

After receiving your two cleanings, simply complete the member satisfaction survey at https://www.surveymonkey.com/r/sodsurvey2020 within the specified time.

Dominion will confirm that the two cleanings were performed by a participating network dentist and will send the primary subscriber a check for all applicable family members.

tDN.SODPRF_122118